| NPI | 1740485093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004284) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW004192) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2013-03-18 |