| NPI | 1689341463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-50335) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 6074) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2024-09-09 |