| NPI | 1881343994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007994) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 121647) |
| 1041C0700X Social Worker, Clinical (Licence: TX 112727) | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-03-06 |