| NPI | 1407387665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW007373) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA MSW007401) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-03-29 |