| NPI | 1790050532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 19621) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 079243-1) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2023-03-02 |