| NPI | 1740964022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MT BBH-SWLC-LIC-63458) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-11-14 |