| NPI | 1720413842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 9184-C) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: AR 9184-M) | |
| 1041C0700X Social Worker Clinical (Licence: TN 6633) | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2018-10-19 |