| NPI | 1679760540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-12002) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 072699-1) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-12-15 |