| NPI | 1922093640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 0974-2352C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW001773) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2018-03-16 |