| NPI | 1992071526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-15768) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ 13123) |
| 104100000X Social Worker (Licence: MN 16952) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2024-01-19 |