| NPI | 1598152530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA MSW006632) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA MSW006632) |
| 101YP2500X Counselor Professional (Licence: GA MSW006632) | |
| 104100000X Social Worker (Licence: GA MSW006632) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-17 |