| NPI | 1285300749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12965) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW19752) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-06-23 |