NPI | 1720727688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22930) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-19677) |
Enumeration Date | 2022-05-31 |
Last Update Date | 2025-05-12 |