| NPI | 1679893739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-13639) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-12822) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2012-10-05 |