| NPI | 1386040608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17559) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-15320) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2019-09-27 |