| NPI | 1144593997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17914) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1611) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2019-09-09 |