| NPI | 1811514151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007689) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA MSW007415) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2022-12-14 |