| NPI | 1689646432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003780) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1844c) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2012-10-08 |