| NPI | 1770739583 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005981) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 13758-CP) | 
| Enumeration Date | 2008-08-12 | 
| Last Update Date | 2025-10-26 |