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 |