| NPI | 1922369073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 105636) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252506) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW006818) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 204881) | |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT001700) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-05-02 |