| NPI | 1740587369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6993-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 6993M) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2017-11-08 |