NPI | 1164798435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004738) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA MSW004870) |
Enumeration Date | 2012-03-30 |
Last Update Date | 2021-11-23 |