NPI | 1093324048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023011394) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2020014658) |
Enumeration Date | 2020-07-27 |
Last Update Date | 2023-05-17 |