| NPI | 1447272513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004835) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10233) |
| 1041C0700X Social Worker, Clinical (Licence: TN LSW0000005264) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I-0007645) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-12-20 |