| NPI | 1790854420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 5506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: TN 5583) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 26436) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2021-10-15 |