| NPI | 1356150064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-78383) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |