| NPI | 1932520491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 5321) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT SWP-LCSW-LIC-5321) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2021-06-09 |