| NPI | 1952730376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17721) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW005254) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2024-09-06 |