| NPI | 1497308571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT BBH-LCSW-LIC-42683) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 33000898A) |
| 1041C0700X Social Worker Clinical (Licence: MT BBH-SWLC-LIC-38639) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2021-11-08 |