| NPI | 1457874422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA MSW007651) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-07-21 |