| NPI | 1649663691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006132) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW19807) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011584) | |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2025-05-26 |