| NPI | 1871112722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw008283) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw17203) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2023-08-04 |