| NPI | 1548513377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW006937) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C007792) |
| 1041C0700X Social Worker Clinical (Licence: MA 116976) | |
| 1041C0700X Social Worker Clinical (Licence: MS C10555) | |
| 1041C0700X Social Worker Clinical (Licence: TN 8615) | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2024-01-23 |