| NPI | 1114240272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW001620) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AL 1418C) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2017-02-08 |