| NPI | 1750785473 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-13950) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW 13950) | 
| Enumeration Date | 2014-10-09 | 
| Last Update Date | 2015-01-28 |