| NPI | 1811365679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC009668) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW006017) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2024-10-02 |