| NPI | 1053045120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-55831) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1395) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-09-01 |