| NPI | 1780025262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW005649) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA MSW005649) |
| 106H00000X Marriage & Family Therapist (Licence: GA MSW005649) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |