| NPI | 1114270436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005676) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA 005835) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2023-05-02 |