| NPI | 1821633215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18335) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LMSW-15833) |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2022-09-12 |