NPI | 1013514389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929706) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L11676) |
1041C0700X Social Worker, Clinical (Licence: ID 3461571) | |
Enumeration Date | 2020-10-08 |
Last Update Date | 2025-06-02 |