| NPI | 1750372199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-12862) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069766-1) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2024-03-19 |