| NPI | 1457503336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20788) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW28971) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2022-10-25 |