| NPI | 1508439373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW23401) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 132367) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2026-01-07 |