NPI | 1013689322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014894) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW025298) |
1041C0700X Social Worker, Clinical (Licence: MD 26354) | |
1041C0700X Social Worker, Clinical (Licence: DC LC200002471) | |
Enumeration Date | 2021-10-05 |
Last Update Date | 2024-12-20 |