| NPI | 1588948657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA LCSW004363) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA002090) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2021-01-21 |