| NPI | 1477339737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008627) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5439C) |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |