| NPI | 1659741049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C011171) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW006686) |
| 1041C0700X Social Worker, Clinical (Licence: NC P009816) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C011171) | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2024-04-15 |