| NPI | 1790503084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ LMSW-21948) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ LMSW-21948) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |