NPI | 1023734316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-20339) |
Additional Taxonomies | 101YP2500X Counselor Professional |
Enumeration Date | 2022-10-18 |
Last Update Date | 2022-10-22 |