| NPI | 1063619963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TN LSW0000004473) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA CSW003778) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN LSW0000004473) | |
| 101YM0800X Counselor, Mental Health (Licence: TN LSW0000004473) | |
| 101YM0800X Counselor, Mental Health (Licence: TN CSW003778) | |
| 101YM0800X Counselor, Mental Health (Licence: IN 34003522A) | |
| 101YP2500X Counselor, Professional (Licence: TN LSW0000004473) | |
| 101YP2500X Counselor, Professional (Licence: GA CSW003778) | |
| 1041C0700X Social Worker, Clinical (Licence: TN LSW0000004473) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW003778) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 34003522A) | |
| 1041S0200X Social Worker, School (Licence: TN LSW0000004473) | |
| 1041S0200X Social Worker, School (Licence: GA CSW003778) | |
| 106H00000X Marriage & Family Therapist (Licence: TN LSW0000004473) | |
| 106H00000X Marriage & Family Therapist (Licence: GA csw003778) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2021-11-04 |