| NPI | 1881954527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005690) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW005677) |
| 1041C0700X Social Worker, Clinical (Licence: FL 18273) | |
| 1041C0700X Social Worker, Clinical (Licence: AL 5373C) | |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2024-06-05 |