| NPI | 1396614285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-23580) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P016996) |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2026-02-09 |