| NPI | 1740634831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006439) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA MSW006371) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2018-09-25 |