| NPI | 1801985809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-1650) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS18556) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2017-04-06 |