| 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 |