| NPI | 1932591039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26026) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007251) |
| 1041C0700X Social Worker, Clinical (Licence: SC 14065) | |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2021-10-16 |