| NPI | 1497074330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003932) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 1604) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |