| NPI | 1477287571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22083) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-19167) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2024-04-25 |