| NPI | 1982176939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW007816) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical (Licence: IL 149.023403) | |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2023-03-03 |