| NPI | 1528475134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 31367) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-33282) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2021-06-02 |