| NPI | 1609390574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001537) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: GA MFT001537) |
| 172V00000X Community Health Worker (Licence: GA MFT001537) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |