| NPI | 1982634077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA LCSW1624) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 1624) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-08-05 |