| NPI | 1558926857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW007744) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW008545) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2022-05-24 |