| NPI | 1811396005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004752) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 1811396005) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2018-09-24 |