| NPI | 1043381452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA LCSW # 201) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA LMFT #405) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2009-02-16 |