| NPI | 1548250616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW002888) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 2457) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2007-07-08 |