| NPI | 1982769642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw003684) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCSW110384) |
| 101YM0800X Counselor, Mental Health (Licence: NV 12049-C) | |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2025-09-03 |