| NPI | 1912276825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW001111) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA MFT000061) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2012-12-18 |