| NPI | 1679848386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005076) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA MSW004076) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2016-08-17 |