| NPI | 1821692245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW007391) |
| Additional Taxonomies | 171W00000X Contractor |
| 101YP2500X Counselor Professional (Licence: GA CSW007391) | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2021-12-29 |