NPI | 1467112524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007842) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW24094) |
1041C0700X Social Worker, Clinical (Licence: SC 17527) | |
Enumeration Date | 2021-12-29 |
Last Update Date | 2025-09-19 |