NPI | 1033769567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25507) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW16531) |
Enumeration Date | 2019-09-17 |
Last Update Date | 2023-10-26 |