| NPI | 1114443694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C013000) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW007070) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-07-21 |