| NPI | 1790107266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-15385) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079612) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2017-03-01 |