| NPI | 1417204660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW006922) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 086323) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2020-01-24 |