| NPI | 1427228717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22908) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 10605) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS#18939) | |
| 1041C0700X Social Worker, Clinical (Licence: NM I-07512) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2025-04-16 |