| NPI | 1417152794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003917) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW003736) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2010-10-18 |