| NPI | 1417333717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ LMSW-13335) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 12359872-3501) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17498) | |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2022-07-12 |