| NPI | 1669747267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005017) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW005338) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2014-04-16 |