| NPI | 1003315771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004153) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2081) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |