| NPI | 1568757375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-13750) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LMSW-12840) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2014-12-17 |