| NPI | 1265632442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19673) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005727) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2024-05-01 |