| NPI | 1699369157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20737) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ 15815) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2023-08-29 |