| NPI | 1407576903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22831) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-20636) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2025-04-02 |