| NPI | 1598044372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004386) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-12300) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |