| NPI | 1699838193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MT 726-LCSW) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 726-LCSW) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-09-23 |