| NPI | 1073844676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005228) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P004758) |
| 1041C0700X Social Worker, Clinical (Licence: NC C007265) | |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2015-02-12 |