| NPI | 1932697018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007839) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012298) |
| 1041C0700X Social Worker, Clinical (Licence: NC C014649) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2022-01-26 |