| NPI | 1649333915 |
|---|---|
| Former Name | GAIL SUSAN HARTMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW000119) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT000429) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-12-22 |