| NPI | 1962515163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-11093) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: AZ LCSW-11093) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-07-17 |