| NPI | 1437401809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005561) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW005792) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2015-08-13 |