| NPI | 1861745580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 4043450701) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |