| NPI | 1295865459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003663) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004730) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-04-07 |