| NPI | 1750009809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 24547) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW008645) |
| 102L00000X Psychoanalyst (Licence: GA MSW008645) | |
| 171M00000X Case Manager/Care Coordinator (Licence: GA MSW008645) | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-03-05 |