| NPI | 1417208018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003445) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1923C) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2023-09-24 |