| NPI | 1952045338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LMSW009255) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2023-07-03 |