| NPI | 1902864945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-2872) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW 2872) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2022-07-21 |