| NPI | 1366984569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007083) |
| Enumeration Date | 2016-11-06 |
| Last Update Date | 2023-07-18 |