| NPI | 1245283092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004101) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA 003423) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-05-04 |