| NPI | 1144409798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW004452) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC004721) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |