| NPI | 1356806939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT 30230) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MT BBH-LCSW-LIC-30230) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2020-01-27 |