| NPI | 1144393554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW000891) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT000530) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-03-06 |