| NPI | 1902180813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-15386) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 17480) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2017-04-23 |