| NPI | 1588970370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006222) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 33635) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical (Licence: CA 71287) | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2023-03-21 |