NPI | 1417333717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: AZ LMSW-13335) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 12359872-3501) |
1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17498) | |
Enumeration Date | 2015-08-10 |
Last Update Date | 2022-07-12 |