| NPI | 1366096984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18309) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW15902) |
| 1041C0700X Social Worker, Clinical (Licence: LCSW18309) | |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2020-02-03 |