| NPI | 1861055717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 886150) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007644) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2026-04-24 |