| NPI | 1245418763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004086) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 8523) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2022-07-21 |