| NPI | 1164659835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA CSW008412) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 007279) |
| 1041C0700X Social Worker Clinical (Licence: IA 007279) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2023-02-16 |