| NPI | 1255077152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22215) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-17747) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2024-07-01 |