| NPI | 1598231706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20657) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW10310) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2022-08-29 |