| NPI | 1336705177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004873) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 103909) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2025-11-06 |