| NPI | 1366564908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW008639) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 9200) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-04-09 |