| NPI | 1770964579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 3025-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-3995) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |