| NPI | 1144888793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010045) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW006800) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |