NPI | 1013366319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005885) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 56311) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2022-07-21 |