| NPI | 1841741378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-17895) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-12805) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2019-10-21 |