| NPI | 1366098253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008044) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5066C) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2023-06-16 |