| NPI | 1568042653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21991) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-18622) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2024-02-07 |