| NPI | 1629265319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003119) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 501944) |
| 1041S0200X Social Worker, School (Licence: GA 695525) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |