NPI | 1063043115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97280) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 12885913-3501) |
1041C0700X Social Worker, Clinical (Licence: FL SW22260) | |
Enumeration Date | 2020-01-28 |
Last Update Date | 2024-05-09 |