| NPI | 1700425436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 20499) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-16204) |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2025-06-04 |