| NPI | 1255070009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-22850) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-03-17 |