NPI | 1013534502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005200) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0904005200) |
Enumeration Date | 2020-06-30 |
Last Update Date | 2023-11-22 |