| NPI | 1548041155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22820) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ 16973) |
| 1041C0700X Social Worker, Clinical (Licence: TX 65576) | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2025-08-26 |