| NPI | 1215550124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21432) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-17578) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2023-05-16 |