| NPI | 1598907347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005847) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 9375) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2016-08-08 |