| NPI | 1063570489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 12247) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW010028) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2025-06-03 |