| NPI | 1346624079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6238) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA csw003258) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-09-21 |