NPI | 1033771225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7058) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088174) |
1041C0700X Social Worker, Clinical (Licence: VA 0904011127) | |
Enumeration Date | 2019-07-08 |
Last Update Date | 2023-11-27 |