| NPI | 1184126542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20500) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: AZ LMSW-15475) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2022-06-22 |