| NPI | 1922333962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-17787) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 1041C0700X Social Worker Clinical (Licence: MT LCSW-LIC-2368) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2021-10-25 |