| NPI | 1255726493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005385) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA MSW005580) |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2020-04-20 |