| NPI | 1992957229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW004589) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT000854) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW004381) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2022-06-07 |