| NPI | 1962709659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22212) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005048) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2019-05-15 |