| NPI | 1417613506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21994) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-18556) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2024-01-23 |