| NPI | 1588179642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-27245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS-94146) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2020-06-05 |