| NPI | 1144707241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-5908T) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 79848) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2019-03-29 |