| NPI | 1639419922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW05303) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW005535) |
| 1041C0700X Social Worker Clinical (Licence: IL 149015833) | |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2015-09-21 |