| NPI | 1427320233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003584) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 7900) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2019-01-14 |