| NPI | 1588919567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2012021118) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW004110) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2016-11-14 |