NPI | 1114537503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023020335) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2023020335) |
1041S0200X Social Worker, School | |
Enumeration Date | 2020-07-31 |
Last Update Date | 2023-06-21 |