| NPI | 1255670865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007001) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 5742-S) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2020-04-21 |