| NPI | 1396476214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2024010290) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-20524) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2024-07-19 |