NPI | 1932765286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-20598) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-17079) |
Enumeration Date | 2019-05-13 |
Last Update Date | 2024-02-22 |