NPI | 1073044756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010823) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH I.1502442) |
1041C0700X Social Worker, Clinical (Licence: DC LC50081851) | |
Enumeration Date | 2017-03-23 |
Last Update Date | 2024-02-22 |