| NPI | 1518382001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT 4694) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: MT SWP-LCSW-LIC-4694) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2017-03-20 |