| NPI | 1922859636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L14627) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20697) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |