| NPI | 1679741003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 004889) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 09017) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2014-02-21 |