| NPI | 1184159311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-SWLC-LIC-18910) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MT BBH-SWLC-LIC-18910) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-07-19 |