| NPI | 1861133415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007924) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LCSW217828) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2023-03-24 |