| NPI | 1679752976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004636) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA MSW003899) |
| 1041S0200X Social Worker, School (Licence: GA 654128) | |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2017-01-08 |