NPI | 1225232440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW002859) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: GA CSW002859) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2007-07-08 |