| NPI | 1669935870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 9395-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 9395-M) |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2022-07-14 |