| NPI | 1912395641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005977) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 12559) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2024-01-30 |