| NPI | 1548684897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SC 1895) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007453) |
| 1041C0700X Social Worker, Clinical (Licence: TN 7392) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 16453) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2024-09-06 |