| NPI | 1285061812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-17997) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: CA 65697) | |
| 1041C0700X Social Worker Clinical (Licence: CA 85340) | |
| 225400000X Rehabilitation Practitioner (Licence: CA 65697) | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2023-08-08 |