| NPI | 1033624713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007282) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW008049) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2020-10-11 |