| NPI | 1144714585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LCSW-20062) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012375) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-08-29 |