| NPI | 1447304472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 000157LCSW) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 000225) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-09-02 |