| NPI | 1427353119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004353) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8019) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |