NPI | 1134570146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18842) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 31310) |
Enumeration Date | 2016-06-30 |
Last Update Date | 2022-09-22 |