| NPI | 1881942662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015272) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 509237) |
| 104100000X Social Worker (Licence: GA MSW005379) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW005659) | |
| 174N00000X Lactation Consultant, Non-RN (Licence: L-313128) | |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2024-09-12 |