| NPI | 1063845873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18036) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-6170T) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2023-10-03 |