| NPI | 1982945739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17447) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 4725) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2018-10-29 |