| NPI | 1871834267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21142) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009154) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2023-08-31 |