| NPI | 1922280106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20160) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 10950300-3501) |
| 1041C0700X Social Worker, Clinical (Licence: CO 950) | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2023-06-28 |