| NPI | 1568848018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw005566) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 13457) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2023-05-15 |