| NPI | 1902247570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW20259) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LCSW-20259) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2024-06-05 |