NPI | 1225337389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-14075) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LMSW-13242) |
Enumeration Date | 2011-03-15 |
Last Update Date | 2024-01-09 |