| NPI | 1588810196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7060347-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22063) |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-44042) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2025-09-04 |