| NPI | 1962858886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121097) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW006005) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2018-09-14 |