| NPI | 1134489800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6578-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 6578-M) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2015-04-13 |