| NPI | 1659965390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW19760) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 96295) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2022-02-17 |