| NPI | 1750564795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw003080) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 25363) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2019-12-16 |