| NPI | 1699026773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007735) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1151-3714C) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2024-02-29 |