| NPI | 1639427099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6582C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2017036045) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2024-07-25 |