| NPI | 1790127629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 7037-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 7037-M) |
| 1041S0200X Social Worker, School (Licence: AR 7037-M) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2017-09-08 |