| NPI | 1659913655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW18454) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 19692) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2021-09-17 |