| NPI | 1154503134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-57488) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006325) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2024-07-03 |