| NPI | 1083052849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005813) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P008037) |
| 1041C0700X Social Worker, Clinical (Licence: NC P008037) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2016-10-26 |