NPI | 1124864533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 16328) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5594C) |
Enumeration Date | 2024-07-04 |
Last Update Date | 2024-07-04 |