| NPI | 1811571227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008844) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 096765) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2024-01-03 |