NPI | 1154859056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120638) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12709) |
Enumeration Date | 2017-05-23 |
Last Update Date | 2019-06-04 |