| NPI | 1558805812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10304336-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA csw005288) |
| 1041C0700X Social Worker, Clinical (Licence: TN 6237) | |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2024-06-14 |