| NPI | 1477653384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005924) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC SC12227) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2022-07-21 |