| NPI | 1770225328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-21503) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-15871) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2023-06-28 |