| NPI | 1912267782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003676) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSX003676) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2020-01-15 |