| NPI | 1649108994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MT BBH-LCSW-LIC-88643) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-88643) |
| Enumeration Date | 2026-05-08 |
| Last Update Date | 2026-07-22 |