| NPI | 1386876365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004414) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006352) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2020-09-17 |