| NPI | 1932533197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006511) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 33215) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2024-09-26 |