| NPI | 1275944233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006652) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW123207) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2024-08-29 |