| NPI | 1518380302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18996) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-13718) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2023-01-06 |