| NPI | 1902005440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003194) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 5793) |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2017-05-05 |