| NPI | 1275415325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-81224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW25195) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-11-19 |