| NPI | 1346860525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22180) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928557) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2024-04-01 |