| NPI | 1508509589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22246) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-17621) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2024-06-25 |