| NPI | 1285997361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007696) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007380) |
| 1041S0200X Social Worker, School (Licence: NC 9800006) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2021-11-15 |