| NPI | 1821435652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW002536) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CSW002536) |
| 1041S0200X Social Worker, School (Licence: CSW002536) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |