| NPI | 1073159034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW009135) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA MSW004857) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-08-28 |