| NPI | 1477828366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17022) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2018-01-29 |