| NPI | 1255782561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8715-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 5271552) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-03-17 |