| NPI | 1770728909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008352) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10294) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW004812) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2017-05-17 |