NPI | 1023830817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017435) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200003393) |
Enumeration Date | 2024-10-31 |
Last Update Date | 2024-10-31 |