| NPI | 1548541253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 16997) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 28831) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2020-05-04 |