NPI | 1104679901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MD 30253) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 110224) |
Enumeration Date | 2024-04-10 |
Last Update Date | 2024-05-21 |