| NPI | 1548304991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW003929) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA MSW003645) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2010-08-15 |