| NPI | 1174791644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-08249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-12358) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2013-03-02 |