| NPI | 1932316684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-1550) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ LCSW 1550) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-06-06 |