| NPI | 1154641694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003190) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1506C) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |