NPI | 1346860525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-22180) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO CSW.09928557) |
Enumeration Date | 2020-04-17 |
Last Update Date | 2024-04-01 |