| NPI | 1780497677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22926) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LMSW-21368) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-21368) | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-06-16 |