| NPI | 1427243765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007420) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA Csw006729) |
| 1041C0700X Social Worker, Clinical (Licence: SC 9847) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2019-03-19 |