NPI | 1114680071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929906) |
Additional Taxonomies | 104100000X Social Worker (Licence: NM M-11958) |
1041C0700X Social Worker, Clinical (Licence: UT 13375769-3501) | |
1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-1117) | |
Enumeration Date | 2021-10-18 |
Last Update Date | 2024-05-29 |