| NPI | 1093401630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20096) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2018024460) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |