| NPI | 1720164742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002825) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003183) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-10-24 |