| NPI | 1689163750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011087) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW006256) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2021-05-11 |