| NPI | 1699141085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-20687) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW74762) |
| 1041C0700X Social Worker Clinical (Licence: FL TPSW3455) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-02-13 |