| NPI | 1154834802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 3136-C) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR 1895-M) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2022-06-13 |