| NPI | 1659760759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 25603) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2019-06-11 |