| NPI | 1689976938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19111) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1178) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2023-05-18 |