NPI | 1790281855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20732) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-16599) |
Enumeration Date | 2018-04-05 |
Last Update Date | 2022-08-26 |