| NPI | 1053607366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 10097-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 10097M) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2023-03-20 |