| NPI | 1871878363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1083-3538C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004350) |
| 104100000X Social Worker (Licence: AL 3538C) | |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2016-10-03 |