| NPI | 1164822623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 005777) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA MSW005974) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2017-01-12 |