NPI | 1700425436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 20499) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-16204) |
Enumeration Date | 2019-12-28 |
Last Update Date | 2025-06-04 |