| NPI | 1891304481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005751) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C7501) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-08-03 |