| NPI | 1225773443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 18793) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW010077) |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2026-06-03 |