| NPI | 1972977304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924992) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20419) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2022-08-10 |