| NPI | 1326103847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19395) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 3018) |
| 1041C0700X Social Worker, Clinical (Licence: ND 3018) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2023-06-04 |