| NPI | 1144249640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 12677) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW002984) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-05-13 |