NPI | 1104547157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023211) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW137135) |
Enumeration Date | 2022-09-08 |
Last Update Date | 2022-11-30 |