| NPI | 1588353379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW008166) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA CSW008166) |
| 102L00000X Psychoanalyst (Licence: GA CSW008166) | |
| 101YM0800X Counselor Mental Health (Licence: GA CSW008166) | |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2025-04-30 |