| NPI | 1548348832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2099-C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 1719-M) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2012-03-01 |