| NPI | 1700240876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009146) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FM APC005094) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2023-07-12 |