| NPI | 1962897652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-15766) |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker (Licence: AZ LMSW 13871) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2021-09-05 |