| NPI | 1316277023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006735) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113440) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2022-03-08 |