NPI | 1073236709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66987) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 2220-123) |
1041C0700X Social Worker, Clinical (Licence: RI ISW04324) | |
1041C0700X Social Worker, Clinical (Licence: NH 5226) | |
1041C0700X Social Worker, Clinical (Licence: MI 6801119389) | |
Enumeration Date | 2022-09-19 |
Last Update Date | 2025-05-20 |