NPI | 1427556240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19986) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 276452) |
Enumeration Date | 2018-01-26 |
Last Update Date | 2024-11-07 |