| NPI | 1114299690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw04839) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007839) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2023-12-05 |