| NPI | 1154423176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA LCSW0001713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW001713) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-01-06 |