| NPI | 1144882481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008414) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 15196) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2023-03-08 |