| NPI | 1902278856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008233) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2024-12-23 |