| NPI | 1104400548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ LCSW18085) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LCSW-18085) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2026-05-04 |