| NPI | 1043030281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW009343) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 256420) |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-11-12 |