| NPI | 1841546579 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22160) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW006836) | 
| 1041C0700X Social Worker, Clinical (Licence: UT 9418992-3501) | |
| Enumeration Date | 2012-07-31 | 
| Last Update Date | 2024-06-04 |