| NPI | 1760937684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007072) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 220532) |
| 101YM0800X Counselor, Mental Health (Licence: GA CSW007072) | |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2024-03-13 |