| NPI | 1477943876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17016) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW - 12859) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2018-02-01 |