| NPI | 1366836868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004771) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW10844) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |