| NPI | 1861844029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8468) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW007454) |
| 104100000X Social Worker (Licence: SC 11664) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2020-09-23 |