| NPI | 1770748055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW002957) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004303A) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2010-07-23 |