| NPI | 1588329957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21826) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-17171) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2023-09-22 |