| NPI | 1891711735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005021) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076443-1) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-06-06 |