| NPI | 1821822313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA MSW011879) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW011879) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-09-23 |