| NPI | 1194201400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 8733-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 8733-M) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2020-09-10 |