| NPI | 1811479827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007596) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 11579) |
| 1041C0700X Social Worker, Clinical (Licence: CT 29) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2023-10-11 |