| NPI | 1265924906 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21342)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-13985)  | 
| Enumeration Date | 2018-05-30 | 
| Last Update Date | 2023-05-02 |