| NPI | 1255773446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005006) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11398) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2021-03-04 |