| NPI | 1225481666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012619) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW006890) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2020-12-28 |