NPI | 1285235192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21630) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LMSW-18986) |
Enumeration Date | 2020-11-06 |
Last Update Date | 2024-11-15 |