| NPI | 1962948968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18291) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-16324) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2023-05-10 |