| NPI | 1811376338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-18628) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-15571) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2020-06-04 |