| NPI | 1568759371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17819) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7653-123) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2020-12-10 |