| NPI | 1225527302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-1327) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2021-12-02 |