| NPI | 1720716939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-21993) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-19201) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-06-13 |