NPI | 1124399597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: PA sw128748) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 27599) |
Enumeration Date | 2012-01-18 |
Last Update Date | 2021-08-19 |