| NPI | 1194277202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LCSW-16391) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 294678-3501) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-11-03 |