| NPI | 1639673825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19176) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-13258) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-02-23 |