| NPI | 1205977097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW0637) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT0116) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-10-21 |