NPI | 1033776364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27793) |
Additional Taxonomies | 104100000X Social Worker (Licence: MD G10639) |
Enumeration Date | 2019-05-22 |
Last Update Date | 2024-04-25 |