| NPI | 1639300965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 7426-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2009022371) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2019-02-01 |