| NPI | 1710435466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 3830G) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA MSW007011) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |