| NPI | 1912555749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22398) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 4995004-3501) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2025-07-08 |