| NPI | 1538660428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10834) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17913) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW-96025) | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2021-05-07 |