| NPI | 1619377561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW0006422) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW15041) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2023-04-06 |