| NPI | 1295257830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007205) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2002156) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2021-08-04 |