| NPI | 1922780659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 18735) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA MSW011559) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2026-04-16 |