| NPI | 1154778587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA MSW006853) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 27614) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2022-03-29 |