| NPI | 1588814149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004894) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006153) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2019-04-10 |