| NPI | 1740672286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 7017-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 7017-M) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2018-04-09 |