| NPI | 1205821188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW002696) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069620-1 R) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2012-01-13 |