| NPI | 1891911194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120474) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW002495) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-03-17 |