| NPI | 1528232022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW004644) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN 000743) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2013-12-27 |