| NPI | 1801276787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LMSW-16325) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2021-10-16 |