| NPI | 1578080289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-19038) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L8235) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2024-06-04 |