| NPI | 1588964795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004729) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW004942) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2019-11-21 |