| NPI | 1972989556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19404) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-15140) |
| 104100000X Social Worker (Licence: AZ LMSW-18034) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2022-09-09 |