| NPI | 1356713580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA MSW006170) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10793) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |