| NPI | 1700160033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT bbh-lcsw-lic-11383) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM x-07451) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2018-09-24 |