NPI | 1073910154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2012012516) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4272) |
Enumeration Date | 2014-12-04 |
Last Update Date | 2023-12-15 |