| NPI | 1063031557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-42656) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4493) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |