| NPI | 1699264887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19732) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 16318) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2021-11-15 |