| NPI | 1891986022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-15203) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 062352) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-03-22 |