| NPI | 1205480167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4694C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW008022) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2021-04-13 |