| NPI | 1013366319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005885) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 56311) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2022-07-21 |