| NPI | 1861946592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-09945) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-09945) |
| 1041S0200X Social Worker, School (Licence: NM X374537) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2019-09-03 |