| NPI | 1982853792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 5211) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW003671) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |