| NPI | 1912398280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C9283) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW006403) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW006078) | |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2018-10-15 |