| NPI | 1457416109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW0002475) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004190) |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2017-04-25 |