| NPI | 1114357886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005504) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW005517) |
| 1041C0700X Social Worker, Clinical (Licence: GA MSW005517) | |
| 1041S0200X Social Worker, School (Licence: GA MSW005517) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2021-02-12 |