| NPI | 1588947238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 12631) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 12631) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2025-08-28 |