| NPI | 1235439597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LCSW-17612) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 076594) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2025-08-05 |