| NPI | 1528310455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW10919) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW006415) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2023-02-17 |