| NPI | 1275987414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA MSW007275) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW006508) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2019-04-03 |