| NPI | 1972737468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003865) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: GA 406866) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |