| NPI | 1952703639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 7176-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 7176-M) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2021-02-09 |