| NPI | 1336633437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-44240) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2020-10-08 |