| NPI | 1780398115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW010057) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C019963) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2026-05-11 |