| NPI | 1619618212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ 20424) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ 18434) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-06-11 |