| NPI | 1669775888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014158) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2012-08-08 |