| NPI | 1154706356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 10879-C) |
| 104100000X Social Worker | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2024-03-06 |