| NPI | 1700892320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005166) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R057551) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-01-26 |