| NPI | 1053621797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-2744) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LISAC-10233) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2012-09-10 |