NPI | 1922280106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20160) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 10950300-3501) |
1041C0700X Social Worker, Clinical (Licence: CO 950) | |
Enumeration Date | 2007-11-29 |
Last Update Date | 2023-06-28 |