| NPI | 1376895334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-12177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW122759) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16957) | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2025-05-13 |