| NPI | 1245016112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-PCLC-LIC-63341) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 63341) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2025-07-24 |