| NPI | 1245821644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MT BBH-LCSW-LIC-48179) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 199825) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2023-08-16 |