| NPI | 1952001331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW008424) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA GACSW008424) |
| 1041C0700X Social Worker Clinical (Licence: MI 6801117977) | |
| 1041C0700X Social Worker Clinical (Licence: TN 9236) | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-07-22 |