| NPI | 1215033212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005801) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 627) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2016-09-02 |