| NPI | 1902304462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007204) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3644C) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2023-05-11 |