| NPI | 1720635782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006825) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW16198) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW020737) | |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |