| NPI | 1366195174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA MSW011787) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 12867) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2025-04-02 |