| NPI | 1124560834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007286) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA MSW005748) |
| 101YM0800X Counselor, Mental Health (Licence: GA MSW005748) | |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2022-06-28 |