| NPI | 1245497122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004439) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013057) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2013-06-04 |