| NPI | 1295098705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW006221) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AK 399) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2020-12-08 |