| NPI | 1104201896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 16663) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-14034) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2023-08-21 |