| NPI | 1609423292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 9599-M) |
| 1041C0700X Social Worker Clinical (Licence: AR 9599-C) | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2025-08-13 |