| NPI | 1639280092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 5095-C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 1558-M) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-04-18 |