| NPI | 1124434733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L15506) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-16387) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2024-10-03 |