| NPI | 1285104372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17290) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 17290) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2021-12-03 |