| NPI | 1881397065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21191) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-24 |