| NPI | 1881138352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19696) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 5465) |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2021-10-08 |