| NPI | 1174945992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005749) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2019-04-12 |