| NPI | 1952070450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 11194-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 11194-M) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-04-09 |