| NPI | 1710458112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007272) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW007061) |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT001932) | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2022-09-29 |