| NPI | 1194461251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21332) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-16742) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2023-12-21 |