| NPI | 1558478743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22842) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C9141) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2025-03-03 |