NPI | 1063065290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125921) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60965158) |
1041C0700X Social Worker, Clinical (Licence: MA 226205) | |
Enumeration Date | 2019-07-17 |
Last Update Date | 2023-01-05 |