| NPI | 1154343499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 764-C) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AR R13457) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-06-12 |