| NPI | 1386761914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-11562) |
| Additional Taxonomies | 101YS0200X Counselor School |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-26 |