| NPI | 1740776061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw007705) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2020035393) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2021-09-23 |