NPI | 1841775772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-55311) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2018-09-26 |
Last Update Date | 2022-03-31 |