| NPI | 1285235192 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21630)  | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LMSW-18986)  | 
| Enumeration Date | 2020-11-06 | 
| Last Update Date | 2024-11-15 |