| NPI | 1023563590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW011113) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 1316161854) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2023-05-17 |