NPI | 1083259857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22776) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 149.024796) |
104100000X Social Worker | |
Enumeration Date | 2019-11-15 |
Last Update Date | 2025-03-31 |