| NPI | 1750656047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-13076) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 01126-C) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |