| NPI | 1164197810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW009704) |
| 104100000X Social Worker | |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2022-10-31 |