| NPI | 1356594634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004038) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: GA 754674) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2011-09-30 |