| NPI | 1710698642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21014) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LCSW-21014) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LMSW-18375) | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-06-21 |