| NPI | 1033561436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW006552) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C010972) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2019-02-02 |