| NPI | 1609127430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT BBH-LCSW-LIC-72645) |
| Additional Taxonomies | 101YS0200X Counselor School |
| 1041C0700X Social Worker Clinical (Licence: IN 34007472A) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2025-04-20 |