| NPI | 1649230566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-10790) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LCSW-10790) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2023-04-19 |