| NPI | 1689091225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-45179) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 5799) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2026-07-08 |