| NPI | 1073822680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009006) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P006416) |
| 104100000X Social Worker (Licence: GA MSW004937) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2018-04-25 |