| NPI | 1013349901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW 11308) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS 21681) |
| 1041C0700X Social Worker Clinical (Licence: WA LW 00005478) | |
| 1041C0700X Social Worker Clinical (Licence: NV 6007-C) | |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |