| NPI | 1174908636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW008094) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2017-11-27 |