| NPI | 1114967726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-14080) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005792) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-08-07 |