| 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 |