| NPI | 1306339395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19377) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-17029) |
| 1041C0700X Social Worker, Clinical (Licence: AK LCSW-178583) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2021-07-20 |