| NPI | 1144790478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW7673) |
| Additional Taxonomies | 171W00000X Contractor (Licence: GA msw008437) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2021-09-14 |