| NPI | 1144416173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW16402) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L3492) |
| 1041C0700X Social Worker Clinical (Licence: GA CSW004455) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2021-11-03 |