| NPI | 1285169771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17218) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: AZ LCSW-17218) |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2018-05-15 |