| NPI | 1417333667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005535) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 34404) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2026-08-11 |