| NPI | 1659947018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005655) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW1624) |
| 1041C0700X Social Worker, Clinical (Licence: AR 12791-C) | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2025-06-30 |