| NPI | 1497036248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-18480) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-14154) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2020-03-03 |