| NPI | 1538648787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT BBH-LCSW-LIC-33248) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 85068) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2024-02-24 |