| NPI | 1104400068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007756) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2025-12-12 |