| NPI | 1831440072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005645) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW005401) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2020-08-19 |