| NPI | 1609063353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004477) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8773) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2020-02-06 |