| 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 |