| NPI | 1417469131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007281) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW008090) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2020-09-03 |