| NPI | 1306609490 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 23175) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 121564-01) | 
| 104100000X Social Worker (Licence: IL 150111145) | |
| 104100000X Social Worker (Licence: AZ LMSW-18948) | |
| Enumeration Date | 2024-02-01 | 
| Last Update Date | 2025-07-22 |