| NPI | 1073162517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008061) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA CSW008061) |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW2320) | |
| 1041C0700X Social Worker, Clinical (Licence: SC SW15669-CP) | |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2023-08-15 |