| NPI | 1053767558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-18593) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2016010634) |
| 1041C0700X Social Worker Clinical (Licence: MO 2018043211) | |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2022-05-23 |