| NPI | 1144639667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16193) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-0659) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2022-11-01 |