| NPI | 1366772246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005135) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 01003) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2014-06-13 |