NPI | 1457893349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18542) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-14120) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2020-08-20 |