| NPI | 1750968830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007819) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA CSW007819) |
| 1041C0700X Social Worker, Clinical (Licence: TX 64503) | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2022-03-08 |