NPI | 1063065829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11358) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-10268) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2020-09-18 |