| NPI | 1578972998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ AZ12379) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 138343-3501) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2021-12-08 |