| NPI | 1174913651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-15344) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017103) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2018-09-14 |