| NPI | 1558784736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005078) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AL 3550C) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2016-01-08 |