| NPI | 1740342344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004933) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW004019) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-09-10 |