| NPI | 1497806590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW005187) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2024-06-26 |