| NPI | 1760990998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009701) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: GA CSW009701) | |
| 101Y00000X Counselor (Licence: GA CSW009701) | |
| 104100000X Social Worker (Licence: GA CSW009701) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2025-08-13 |