NPI | 1003320581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03356) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 222301) |
1041C0700X Social Worker, Clinical (Licence: VT 097.0125266) | |
Enumeration Date | 2017-11-20 |
Last Update Date | 2021-10-01 |