| NPI | 1780023499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 4833) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2026-06-30 |