| NPI | 1902233950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 6664085-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-15319) |
| Enumeration Date | 2013-10-06 |
| Last Update Date | 2019-08-26 |