| NPI | 1487006748 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 7142-C)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 104100000X Social Worker (Licence: AR 7142-C)  | |
| 104100000X Social Worker (Licence: AR 7142-M)  | |
| Enumeration Date | 2016-07-11 | 
| Last Update Date | 2023-09-28 |