| NPI | 1750894267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16962) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-15176) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2022-10-24 |