| NPI | 1275984163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 7949-C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: AR 7949-M) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2019-08-07 |