| NPI | 1821123274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 761-C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 761-c) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2015-04-13 |