NPI | 1154724490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022294) |
Additional Taxonomies | 104100000X Social Worker (Licence: KY 7025) |
Enumeration Date | 2014-10-01 |
Last Update Date | 2025-03-14 |