| NPI | 1811167794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010257) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW00416) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2017-03-08 |