NPI | 1033652102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: VA 0904011139) |
Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903002401) |
1041C0700X Social Worker Clinical (Licence: VA 0904011139) | |
Enumeration Date | 2016-11-22 |
Last Update Date | 2022-07-14 |