| NPI | 1023525060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8963-C) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: AR 8963-M) | |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2021-01-13 |