| NPI | 1316466832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20569) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 8498-C) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2025-04-07 |