| NPI | 1194149088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20032) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8803479-3502) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2026-04-27 |