| NPI | 1699212910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005988) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CSW005988) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2023-10-20 |