| NPI | 1750111233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW012027) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW26099) |
| 1041C0700X Social Worker, Clinical (Licence: AL 6903C) | |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2026-06-18 |