| NPI | 1831315167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006364) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P002643) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW005476) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-08-01 |