| NPI | 1700543808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW007779) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW18604) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |