| NPI | 1487905717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MT 4636) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT SWP-LCSW-LIC-4636) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2016-05-03 |