| NPI | 1235280157 |
|---|---|
| Former Name | GWEN AZIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089.0081152) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VT 0890081152) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2024-04-10 |