| NPI | 1891110631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006112) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA MSW005334) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2017-11-07 |