| NPI | 1609630037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005741) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 11987) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-15 |