NPI | 1144967290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 229974) |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical (Licence: MA LCSW229974) | |
Enumeration Date | 2022-05-18 |
Last Update Date | 2024-11-19 |