| NPI | 1790849420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW003899) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA 3381) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2023-11-07 |