| NPI | 1164010989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009210) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 87256) |
| 1041C0700X Social Worker, Clinical (Licence: CA 105223) | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2025-01-23 |