| NPI | 1386033355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 38123) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 104100000X Social Worker (Licence: MT BBH-SWLC-LIC-22429) | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2021-02-19 |