| NPI | 1255645263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW001906) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 8595) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |