| NPI | 1932718319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19996) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LMSW-16499) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2023-08-07 |