| NPI | 1881967420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008641) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 4303C) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2024-02-21 |