| NPI | 1447572128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-15345) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LMSW-12408) |
| 104100000X Social Worker (Licence: AZ 385HR2055X) | |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2017-04-23 |