| NPI | 1689997934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005727) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9367) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2016-09-15 |