NPI | 1093337552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022562) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW135620) |
Enumeration Date | 2020-05-07 |
Last Update Date | 2022-05-09 |