| NPI | 1689053951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA CSW006509) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904008952) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2018-10-23 |