| NPI | 1770983389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW000338) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904004735) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2020-05-13 |