| NPI | 1841217544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003722) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8328) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-09-27 |