| NPI | 1821718073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ LCSW-22291) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: MA 128487) | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2026-09-09 |