| NPI | 1396552485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-22658) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-2658) |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-16 |