| NPI | 1881775039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-57344) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-01-22 |