| NPI | 1548905862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ LMSW-20785) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ PENDING) |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2023-12-08 |