| NPI | 1245865351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007771) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW007172) |
| 104100000X Social Worker (Licence: GA LMSW) | |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2021-10-13 |