| NPI | 1487165031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ LMSW-13611) |
| Additional Taxonomies | 104100000X Social Worker |
| 101Y00000X Counselor (Licence: AZ LMSW-13611) | |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2020-03-24 |