| NPI | 1568863702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006393) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW005973) |
| 104100000X Social Worker (Licence: GA MSW005973) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2023-12-04 |