| NPI | 1265073621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005510) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA CSW005510) |
| 1041S0200X Social Worker, School (Licence: GA CSW005510) | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |