| NPI | 1518104009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-12681) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 12681) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2018-04-16 |