| NPI | 1134570146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-18842) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 31310) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2022-09-22 |