| NPI | 1326543364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16956) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: AZ LCSW-16956) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-07-31 |