| NPI | 1205390234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61098814) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22641) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2025-08-25 |