| NPI | 1841936143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW21179) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-16979) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2024-12-06 |