| NPI | 1639234917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003718) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077007) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-08-22 |