NPI | 1205505831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21255) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-18475) |
Enumeration Date | 2021-09-08 |
Last Update Date | 2023-03-10 |