| NPI | 1619942539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 1073-C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2004011135) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2019-05-30 |