| NPI | 1477361665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009637) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 18083) |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2025-12-19 |