| NPI | 1861078024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-48398) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LIC-LCSW-48398) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2023-08-31 |