| NPI | 1285290312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011124) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0183041) |
| 101YP2500X Counselor, Professional (Licence: SC LPC7133) | |
| 104100000X Social Worker (Licence: GA MSW008863) | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-12-06 |