| NPI | 1881097467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW 11965) |
| Additional Taxonomies | 171W00000X Contractor (Licence: AZ 13659541) |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 13659541) | |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2026-03-12 |