| NPI | 1619500774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008326) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 011819) |
| 1041C0700X Social Worker, Clinical (Licence: NC C011319) | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2025-10-21 |