NPI | 1922333962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-17787) |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
1041C0700X Social Worker Clinical (Licence: MT LCSW-LIC-2368) | |
Enumeration Date | 2009-10-08 |
Last Update Date | 2021-10-25 |