| NPI | 1700038502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-13074) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-12109) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2019-12-04 |