| NPI | 1376975763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ 21210) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LMSW-13764) |
| 1041C0700X Social Worker, Clinical (Licence: CA 75988) | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2023-05-15 |