| NPI | 1013231505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003624) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8061) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-07-27 |