| NPI | 1154912624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20894) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-16409) |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2024-07-18 |