| NPI | 1356617211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 16463) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008646) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2016-12-06 |