| NPI | 1316186505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9030) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003511) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |