| NPI | 1396637732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-SWLC-LIC-80535) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT BBH-SWLC-LIC-80535) |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-08-11 |