| NPI | 1093357303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20956) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 64558) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2023-04-20 |