| NPI | 1891013983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW00576) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080365) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2018-06-23 |