| NPI | 1821555046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254667) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA MSW007836) |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2023-08-14 |