| NPI | 1760948046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19548) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 17312) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2021-06-25 |