| NPI | 1316211642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW10530) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2024-01-04 |