| NPI | 1366062515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 52429) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-SWLC-LIC-38869) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2022-03-20 |