| NPI | 1659788313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005995) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05576800) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2019-06-19 |