| NPI | 1770706111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005886) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2004004692) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2017-01-17 |