| NPI | 1104535004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21225) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-18322) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2023-03-03 |