NPI | 1154645240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 9617) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 104470) |
1041C0700X Social Worker, Clinical (Licence: GA CSW005278) | |
Enumeration Date | 2010-03-18 |
Last Update Date | 2023-04-13 |