| NPI | 1073758819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW00361) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW3967) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |