| NPI | 1508212804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14836) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW009969) |
| 1041C0700X Social Worker, Clinical (Licence: FL tpsw6115) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2026-03-16 |