| NPI | 1396218731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw008053) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 23751) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2024-12-11 |