| NPI | 1366092306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 19112) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LCSW-19912) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2025-01-20 |