| NPI | 1205188075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 8224944-3502) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MT SWP-LCSW-LIC-10759) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2014-12-30 |