| NPI | 1194051490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006457) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW008440) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2023-05-31 |