NPI | 1114519790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 16238) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-43826) |
1041C0700X Social Worker, Clinical (Licence: NC C016279) | |
Enumeration Date | 2021-02-05 |
Last Update Date | 2024-11-19 |