NPI | 1063202653 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12959) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303385) |
Enumeration Date | 2025-05-08 |
Last Update Date | 2025-05-08 |