| NPI | 1558962928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW22455) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 006573) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2025-03-20 |