| NPI | 1295964542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004161) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW003319) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-09-17 |