| NPI | 1396475422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008214) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5054C) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-08-15 |