| NPI | 1629391792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14125) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003710) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2022-07-21 |