| NPI | 1114159266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8603-123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA CSW004141) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW004141) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 8603) | |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2021-09-29 |