| NPI | 1700242450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17298) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 9433420-3502) |
| 1041C0700X Social Worker, Clinical (Licence: UT 9433420-3501) | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2021-11-14 |