| NPI | 1932504917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005514) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082177-1) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2021-07-27 |