NPI | 1003574229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 28071) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904017476) |
Enumeration Date | 2021-12-05 |
Last Update Date | 2024-10-11 |