| NPI | 1417189705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005104) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW004447) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2016-08-18 |