| NPI | 1578084687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW007240) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: GA 715062) |
| 175T00000X Peer Specialist | |
| 405300000X Prevention Professional (Licence: GA MSW007240) | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |