| NPI | 1578028676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006250) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW17677) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34007928A) | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2025-09-30 |