NPI | 1124341417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C000259) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904018012) |
Enumeration Date | 2010-03-01 |
Last Update Date | 2025-04-21 |