| NPI | 1760159131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 16503) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW010286) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2026-07-16 |