| NPI | 1073245098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 12769) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 16986) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2023-09-25 |