| NPI | 1679227284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-64384) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 1061072) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2024-11-07 |