| NPI | 1316316169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005664) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 11402) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2022-11-16 |