| NPI | 1841510930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18526) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW09923794) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2020-07-20 |