| NPI | 1821255845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 5113-C) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical (Licence: AR 2553-M) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2016-03-31 |