| NPI | 1922502061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011428) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC PO12090) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW006397) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2023-08-20 |