| NPI | 1275873754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005253) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW10163) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2015-12-07 |