NPI | 1871974931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW17293) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-15657) |
Enumeration Date | 2015-06-15 |
Last Update Date | 2023-10-19 |