| NPI | 1881145134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 572) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AZ PSY-005186) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17874) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2021-08-10 |