| NPI | 1215297601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004622) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW10550) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-24 |