| NPI | 1205251501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA MSW006395) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW12959) |
| Enumeration Date | 2014-02-23 |
| Last Update Date | 2016-08-07 |