| NPI | 1760882740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-50251) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 31959) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2023-12-18 |