| NPI | 1669779716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18425) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1687) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2020-03-18 |