| NPI | 1710623889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW22631) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-7087T) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-12-04 |