| NPI | 1407333008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007325) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW007692) |
| 1041S0200X Social Worker, School (Licence: GA MSW007692) | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2020-10-16 |