| NPI | 1619754793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-21207) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |