NPI | 1053870246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009648) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC SW.18011CP) |
Enumeration Date | 2019-03-18 |
Last Update Date | 2025-08-14 |