| NPI | 1659977973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ LMSW-19597) |
| Additional Taxonomies | 101YS0200X Counselor School |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker Clinical | |
| 1041S0200X Social Worker School | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2023-03-10 |