NPI | 1770826216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LMFT-15963) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15963) | |
106H00000X Marriage & Family Therapist (Licence: NV 4420) | |
Enumeration Date | 2013-04-03 |
Last Update Date | 2023-08-02 |