NPI | 1073145280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4989-0) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.104159) |
Enumeration Date | 2020-02-05 |
Last Update Date | 2023-08-21 |