NPI | 1699900043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16346) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 2097) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2023-08-22 |