| NPI | 1558736892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253277) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7547) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW007287) | |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2020-11-12 |