| NPI | 1952769374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005803) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW006841) |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2019-10-29 |