| NPI | 1306173000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004405) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW004818) |
| 104100000X Social Worker (Licence: TN LSW0000007534) | |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2012-03-19 |