| NPI | 1508588351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-16938) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2023-03-29 |