| NPI | 1659627024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8297) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005321) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2020-05-02 |