| NPI | 1912449083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18522) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-16431) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2024-02-04 |