| NPI | 1699900043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-16346) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO 2097) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2023-08-22 |