| NPI | 1174815419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-12633) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ lcsw-14103) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2015-03-09 |