| NPI | 1912651894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22770) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ 1-21-54491) |
| 104100000X Social Worker (Licence: AZ LMSW-18370) | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2025-02-11 |