| NPI | 1629865761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-5311) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22680) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |